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1255643276
CHARLES STICCO
OCEANSIDE, NY
NPI
1255643276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: NY 258397)
Enumeration Date
2010-07-07
Last Update Date
2016-05-06
Business Address
-- CHARLES STICCO DO
1 HEALTHY WAY
OCEANSIDE, NY 11572-1551
Phone number: 516-764-5455
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Mailing Address
-- CHARLES STICCO DO
1 HEALTHY WAY
OCEANSIDE, NY 11572-1551
Phone number: 516-764-5455
Copy
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